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A Comparison of the Quality of Health Care in the United States and Japan

A Comparison of the Quality of Health Care in the United States and Japan

Treatment and Outcomes for Heart Attack Patients

Chapter:
(p.165) 7 A Comparison of the Quality of Health Care in the United States and Japan
Source:
Health Care Issues in the United States and Japan
Author(s):
Haruko NoguchiYuichiro MasudaMasafumi KuzuyaAkihiko IguchiJeffery GeppertMark McClellan
Publisher:
University of Chicago Press
DOI:10.7208/chicago/9780226903248.003.0008

This chapter evaluates the differences in treatment patterns and the relationship between treatment patterns and health care quality among acute myocardial infarction (AMI) patients in United States and Japan. The Cooperative Cardiovascular Project (CCP) patients tend to be more aggressively treated by beta-blockers than Japanese patients, and it is observed that collaborative medical centers in the data tend to perform intensive procedures more often. There is significant heterogeneity among patients and in treatments that could influence the quality of care among elderly AMI patients. It is also found that high-tech treatments would significantly enhance patient outcomes and would increase hospital expenditures. CCP patient who undergoes an intensive procedure tends to stay in a hospital longer compared to the one who does not, while a patient who undergoes an intensive procedure in Japan is inclined to stay in the hospital for a shorter period.

Keywords:   treatment patterns, health care quality, acute myocardial infarction, United States, Japan, elderly, high-tech treatments, Cooperative Cardiovascular Project, intensive procedure

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